Filter
Top Products
128-8253
7 of 8
Page 7
ORDER FORM FOR 101TX Transmitter
Attention: Transmitter Ordering Department
Important: To help us expedite your order, please print all of the information
legibly and mail this form and your payment according to the in-
structions below.
Indicate the pad number of your transmitter selected from the pads
shown above.
Note: Transmitter model number found on back of case.
1)Name: _______________________________________
2)Address: ______________________________________
3) City: ________________ State: _____ Zip Code: ________
4) Telephone Number: (_____) _______________
5) Total Number Of Transmitters Required:
Cost Per Transmitter is: $65.00
Multiply By Number Of Transmitters X ______
6) Enter Total Amount Enclosed _________________
(New York State Residents must include the appropriate sales tax)
7) Method of Payment:
Mastercard Visa Check or Money Order (do not send cash)
Make Checks Payable To Audiovox Corporation
CreditCard Number: _________________________________
Credit Card Expiration Date: ____ / _____ / _____
8) Mail this form along with your payment to:
Credit card purchasers can order additional or replacement transmitters by phone.
Simply dial 1 - 800 - 645 - 4994, and follow the instructions from the operator
interface.
Audiovox Electronics Corp., 150 Marcus Blvd., Hauppauge, N.Y., 11788
Attn.: TRANSMITTER DEPARTMENT